FINE NEEDLE ASPIRATION CYTOLOGY OF MALE BREAST LESIONS- A DESCRIPTIVE STUDY OVER A PERIOD OF FIVE YEARS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 54
Abstract
BACKGROUND Fine needle aspiration cytology is known to have a well-established role in the diagnosis and management of palpable breast lumps. Breast carcinoma is the second most common cause of death in female patients, male breast carcinoma is rare, accounting for less than 1% of all breast cancers and all cancers in men. Male breast masses are rarely aspirated and hence there is limited cytopathological experience. The aim of our study is to determine the efficacy of FNAC in the diagnosis of male breast lesions. MATERIALS AND METHODS A five-year descriptive study was conducted from July 2011 to June 2016 and data on male breast FNAC were retrieved from the cytopathology records. Cytohistological correlation was done with data from histopathology records. RESULTS 68 male patients underwent breast FNAC. The FNAC diagnosis was categorised as benign (85.3%), malignant (7.4%), suspicious for malignancy (2.9%) and inadequate or unsatisfactory (4.4%). Gynaecomastia was the commonest benign lesion seen in 53 (91.3%) out of 58 cases. Histopathology was available in 19 (27.9%) out of 68 cases. FNAC had a sensitivity, specificity and diagnostic accuracy of 100% for male breast lesions in the present study. CONCLUSION The present study shows that FNAC is a very reliable, sensitive and specific diagnostic tool for the early diagnosis of male breast lesions.
Authors and Affiliations
Garima Garima, Tanu Agrawal
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